CERTIFICATO MEDICO Si certifica che la paziente______________ nata/o a ______________il ____________ domiciliata/o a (provincia e indirizzo), sulla base degli elementi clinico–anamnestici rilevati, non presenta allo stato attuale segni clinici tali da controindicare la pratica di attività ginnico-motoria non-competitiva, compatibile con l’età, purché adeguatamente seguita/o dai istruttori professionali. La disciplina ginnico-motoria è : attività motoria ludico ginnica in palestra e sauna. MEDICAL CERTIFICATE I certify that the patient (family name, name)______________ born in ______________on ____________ and resident of (state and address)__________________, on the basis of his/her clinical-anamnestic characteristics, does not at the present time show any clinical signs that contraindicate the practice of non-competitive gymnastic-motor activities, which are compatible with his/her age, as long as he/she is appropriately guided by professional instructors. Gymnasticmotor discipline includes: gymnastic, motory, and sport activities in the gymnasium and sauna. Date_______________ Doctor’s signature and stamp_______________